OrganizationActive
Sunnyside Dentistry for Children, P.C.
NPI 1104156959 · Pediatric Dentistry · Clackamas, OR
Provider details
- NPI number
- 1104156959
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- David Doyle, Jr, President(503) 855-5100
- License
- D6490 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11411 Se Sunnyside Rd
Suite 101
Clackamas, OR 97015-5745
Phone: (503) 855-5100
Fax: (503) 826-5196
Street-level locationGet directions
Mailing address
11411 Se Sunnyside Rd
Clackamas, OR 97015-5713
Registry dates
- Enumerated
- 2009-12-29
- Last updated
- 2015-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.